Individual
JUSTIN FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437
(443) 738-8170
(443) 738-2713
Mailing address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437
(443) 738-8170
(443) 738-2713
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0085425
MD
Other
Enumeration date
05/02/2013
Last updated
10/30/2018
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